Shahid Rasool¹*, Syed Ruzina², Matoo Priyanka², Aadil Malik³, Shilpam Sharma⁴, Zohda Tayyaba⁵ and Syeda Alwera Ahmad⁶

¹Assistant Professor, MS, Department of ENT, Hamdard Institute of Medical Sciences, New Delhi, India
²Assistant Professor, MD, Department of Radiodiagnosis, Hamdard Institute of Medical Sciences, New Delhi, India
³Senior Resident, MD, Department of Radiodiagnosis, Hamdard Institute of Medical Sciences, New Delhi, India
⁴Assistant Professor, MS, Department of ENT-HNS, Hamdard Institute of Medical Sciences, New Delhi, India
⁵Senior Resident, MS, Department of ENT-HNS, Hamdard Institute of Medical sciences, New Delhi, India
⁶Resident MBBS, Department of ENT, Hamdard Institute of Medical Sciences, New Delhi, India

*Corresponding Author: EShahid Rasool, Assistant Professor, Department of ENT, Hamdard Institute of medical sciences, New Delhi, India.

Received: March 24, 2023; Published: April 28, 2023

Abstract

Unilateral foul smelling nasal discharge has been the commonest clinical presentation among children and when reported in adults, foul smelling discharge, recurrent episodes of epistaxis may be alarming but predominantly among mentally retarded patients Generally, any patient with unilateral foul smelling nasal discharge should be considered to have a foreign body until proven otherwise especially children. Rhinoscopy remains to be the main stay in establishing the presence of a foreign body in the nose.

The aim of this case report is to report an unusual long standing rhinolith which was masqueraded by an intranasal pyogenic granuloma and review the few available literatures. Perhaps this is the first interesting case globally from the available literatures

Any patient who presents with a unilateral nasal discharge should raise the suspicion of a nasal foreign body and in children this must be regarded the case until proved otherwise. The physical examination of the nose involving anterior rhinoscopy and use of either a fibreoptic nasopharyngoscope or a 0 degree rigid endoscope will often reveal the foreign object. However on occasions mucosal oedema or granulations tend to hide it. In such cases the nose should be sprayed with a vasoconstrictor agent to shrink the mucosa before re-examination. Many times the foreign body becomes apparent with this maneuver. In younger or very apprehensive children it may be necessary for the search to be carried out under a general anaesthesia. The case is of an adult patient, not mentally retarded with long standing FB in the nose with complication of granuloma formation which was misdiagnosed as pyogenic granuloma.

Keywords: Epistaxis; Rhinolith; Sane Adult

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Citation

Citation: Shahid Rasool., et al. “Sphenoid Sinus; Variability of its Surrounding Neurovascular Structures".Acta Scientific Otolaryngology 5.5 (2023): 48-52.

Copyright

Copyright: © 2023 Shahid Rasool., et al. This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.